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The Effects of Eating Disorders on the Body, Brain, and Mind


Thursday, March 23, 2017: 10:15 AM-11:45 AM

Background: We will examine the effects of restricting, binging, and purging on each body system. There will be a focus on psychiatric complications and how eating disorders behaviors effect psychotropic medications. Medications that can interfere with recovery will also be discussed. Finally re-feeding syndrome will be explored.

Objectives: 1. List the medical complications that can arise from restriction, binging, and purging. 2. Discuss the psychiatric co-morbidities and complications that can occur from eating disorders and how the eating disorder behaviors can effect psychiatric medications and medications to avoid in recovery. 3. Understand re-feeding syndrome including risk factors, pathophysiology, how to monitor, and how to treat it should it emerge during treatment.

Eating Disorders affect every body system. This presentation will examine the effects of restricting, binging, and purging on each body system. Along with the pathology that can develop the presentation will examine treatment options. Re-feeding syndrome will be explored including risk factors, pathophysiology, how to monitor, and how to treat it should it emerge during treatment. Often there are psychiatric co-morbidities with eating disorders and psychiatric symptoms can develop in response to starvation and malnutrition these conditions will be explored. A focus will be spent on treatment of psychiatric conditions including how the pharmacology of common psychiatric medications are effected by eating disorder behaviors. Time will be spent on brain imaging changes that occur with eating disorders and hypothesis on what that means in terms of treatment. There will be a discussion of set shifting difficulties in patients with eating disorders. Medications that can interfere with recovery will also be discussed. Evidenced based medications for Bulimia Nervosa and binge eating disorder will be discussed. There will be a discussion on medications that appear the be promising in the treatment of anorexia nervosa.

Eating Disorders affect every body system. This presentation will examine the effects of restricting, binging, and purging on each body system. Along with the pathology that can develop the presentation will examine treatment options. Re-feeding syndrome will be explored including risk factors, pathophysiology, how to monitor, and how to treat it should it emerge during treatment. Often there are psychiatric co-morbidities with eating disorders and psychiatric symptoms can develop in response to starvation and malnutrition these conditions will be explored. A focus will be spent on treatment of psychiatric conditions including how the pharmacology of common psychiatric medications are effected by eating disorder behaviors. Time will be spent on brain imaging changes that occur with eating disorders and hypothesis on what that means in terms of treatment. There will be a discussion of set shifting difficulties in patients with eating disorders. Medications that can interfere with recovery will also be discussed. Evidenced based medications for Bulimia Nervosa and binge eating disorder will be discussed. There will be a discussion on medications that appear the be promising in the treatment of anorexia nervosa.
Primary Presenter:
Nicole Garber, MD

Nicole Garber graduated from Saint Louis University School of Medicine, she completed her general psychiatry residency training at Emory University School of Medicine, and completed a child and adolescent psychiatry fellowship at Baylor School of Medicine. She began to work with Baylor at the Menninger Clinic. In April 2015 began at Rosewood Centers for Eating Disorders as the Chief of Pediatric and Adolescent Eating Disorder Program. She is extensively trained in DBT, TF-CBT, mentalization based treatment, and is currently in child and adolescent psychoanalytic training.



Co-Presenter:
Sindhu Idicula, MD

Sindhu Idicula graduated from the University of Texas Medical Branch School of Medicine and completed both her general psychiatry residency training and child and adolescent psychiatry fellowship training at Baylor College of Medicine. She continued as faculty there where she spent time caring for patients with eating disorders. She is actively involved in education, teaching at the medical school and for residents. She is also deeply interested in psychotherapy, and has pursued training in DBT, psychodynamic psychotherapy, and is currently a clinical candidate in adult psychoanalytic training.



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